Impact of diabetes in patients waiting for invasive cardiac procedures during COVID-19 pandemic

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• dc.contributor.author Moreno, Raúl
• dc.contributor.author Vaquerizo Montilla, Beatriz
• dc.contributor.author Paredes, Emilio
• dc.date.accessioned 2021-09-06T06:58:51Z
• dc.date.available 2021-09-06T06:58:51Z
• dc.date.issued 2021
• dc.description.abstract Background: During COVID-19 pandemic, elective invasive cardiac procedures (ICP) have been frequently cancelled or postponed. Consequences may be more evident in patients with diabetes. Objectives: The objective was to identify the peculiarities of patients with DM among those in whom ICP were cancelled or postponed due to the COVID-19 pandemic, as well as to identify subgroups in which the influence of DM has higher impact on the clinical outcome. Methods: We included 2,158 patients in whom an elective ICP was cancelled or postponed during COVID-19 pandemic in 37 hospitals in Spain. Among them, 700 (32.4%) were diabetics. Patients with and without diabetes were compared. Results: Patients with diabetes were older and had a higher prevalence of other cardiovascular risk factors, previous cardiovascular history and co-morbidities. Diabetics had a higher mortality (3.0% vs. 1.0%; p = 0.001) and cardiovascular mortality (1.9% vs. 0.4%; p = 0.001). Differences were especially important in patients with valvular heart disease (mortality 6.9% vs 1.7% [p < 0.001] and cardiovascular mortality 4.9% vs 0.9% [p = 0.002] in patients with and without diabetes, respectively). In the multivariable analysis, diabetes remained as an independent risk factor both for overall and cardiovascular mortality. No significant interaction was found with other clinical variables. Conclusion: Among patients in whom an elective invasive cardiac procedure is cancelled or postponed during COVID-19 pandemic, mortality and cardiovascular mortality is higher in patients with diabetes, irrespectively on other clinical conditions. These procedures should not be cancelled in patients with diabetes.
• dc.format.mimetype application/pdf
• dc.identifier.citation Moreno R, Díez JL, Diarte JA, Salinas P, de la Torre Hernández JM, Andres-Cordón JF et al. Impact of diabetes in patients waiting for invasive cardiac procedures during COVID-19 pandemic. Cardiovasc Diabetol. 2021;20(1):69. DOI: 10.1186/s12933-021-01261-2
• dc.identifier.doi http://dx.doi.org/10.1186/s12933-021-01261-2
• dc.identifier.issn 1475-2840
• dc.identifier.uri http://hdl.handle.net/10230/48391
• dc.language.iso eng
• dc.publisher BioMed Central
• dc.relation.ispartof Cardiovasc Diabetol. 2021;20(1):69
• dc.rights © The Author(s) 2021. Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.rights.uri http://creativecommons.org/licenses/by/4.0/
• dc.subject.keyword COVID-19
• dc.subject.keyword Diabetes
• dc.subject.keyword Interventional cardiology
• dc.subject.keyword Mortality
• dc.subject.keyword Waiting list
• dc.title Impact of diabetes in patients waiting for invasive cardiac procedures during COVID-19 pandemic
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/publishedVersion